Full time
Day/Evening/Night (United States of America)
2900 Lamb Cir - Christiansburg
R158475 APP ( NP or PA) Surgery First Assist - Ortho Spine (Open)


Orthopedic Spine Advanced Practice Provider (APP)
Organization: Carilion Clinic
Location: Roanoke, Virginia
Orthopedic Spine Advanced Practice Provider (APP)
Organization: Carilion Clinic
Location: Roanoke, Virginia
About Carilion Clinic
Carilion Clinic is a nationally recognized, integrated healthcare system serving communities across western Virginia. As a physician-led organization affiliated with the Virginia Tech Carilion School of Medicine, Carilion is committed to clinical excellence, education, and research while delivering compassionate, patient-centered care.
Position Overview
Carilion Clinic is seeking a dedicated Orthopedic Spine Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our growing Spine Surgery team. This role offers the opportunity to work collaboratively with fellowship-trained orthopedic spine surgeons in a dynamic, high-volume practice serving a diverse patient population.
The APP will provide comprehensive care across the continuum, including outpatient clinic, inpatient rounding, perioperative management, and first assist in the operating room.
Key Responsibilities
Perform comprehensive history and physical examinations for spine patients
Order and interpret diagnostic tests, imaging, and labs
Develop and implement evidence-based treatment plans
Provide pre-operative and post-operative care
First assist in spine surgical procedures
Conduct inpatient rounds and coordinate discharge planning
Educate patients and families regarding diagnosis, treatment options, and recovery
Collaborate with surgeons, nursing staff, therapy services, and care coordination teams
Document accurately and timely in the electronic medical record
Qualifications
Graduate of an accredited Nurse Practitioner or Physician Assistant program
Board certification as an NP or PA-C
Current Virginia licensure (or eligibility)
Previous orthopedic or spine experience preferred
Surgical first assist experience preferred
Strong clinical judgment and excellent communication skills
Commitment to high-quality, patient-centered care
Work Environment & Schedule
Combination of clinic, OR, and hospital rounding
Full-time position
Shared call responsibilities (if applicable)
Supportive, team-based practice model
Compensation & Benefits
Competitive salary and comprehensive benefits package
CME allowance and professional development support
Retirement savings plan with employer match
Paid malpractice coverage
Generous PTO
Why Roanoke?
Located in the scenic Blue Ridge Mountains, Roanoke offers a vibrant community with outdoor recreation, cultural amenities, and a high quality of life. Enjoy hiking, biking, and water activities while living in a region known for its welcoming community and affordable cost of living.
If you are a motivated APP seeking to grow your career in orthopedic spine surgery within a collaborative, academic health system, we encourage you to apply and join the team at Carilion Clinic.



Compensation Range:
$118,788.80 - $190,070.40
Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.



Recruiter:
KARYN FARRELL
Recruiter Email:
[email protected]
Recruiter Phone Number:
+1 (540) 4004081
For more information, contact the HR Service Center at 1-800-599-2537.
Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.
For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies



Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away.
When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:
- Comprehensive Medical, Dental, & Vision Benefits
- Employer Funded Pension Plan, vested after five years (Voluntary 403B)
- Paid Time Off (accrued from day one)
- Onsite fitness studios and discounts to our Carilion Wellness centers
- Access to our health and wellness app, Personify Health
- Discounts on childcare
- Continued education and training
